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동화 남성화스테로이드 유사체 남용 후 발생한 중증 지속 황달

Severe Persistent Jaundice after the Abuse of an Anabolic Androgenic Steroid Analogue

대한소화기학회지 2020년 76권 3호 p.167 ~ 170
고현길, 이유진, 김태형,
소속 상세정보
고현길 ( Goh Hyun-Gil ) - Korea University College of Medicine Department of Internal Medicine
이유진 ( Lee Yoo-Jin ) - Korea University College of Medicine Department of Pathology
김태형 ( Kim Tae-Hyung ) - Korea University College of Medicine Department of Internal Medicine

Abstract


Hepatic disorders with prominent cholestasis can be caused by a range of conditions, and anabolic androgenic steroids have been considered a cause of protracted cholestasis. A 29-year-old man who had taken an anabolic androgenic steroid analogue for 2 months visited the hospital complaining of jaundice and indigestion. After stopping the medication, the hyperbilirubinemia tended to decrease, but a transiently elevated aminotransferase level was observed. The endogenous testosterone level also decreased initially but recovered soon after. The liver function profiles were normalized after 2 months of conservative management. This case emphasizes that close drug history taking, including anabolic steroids, is important for identifying the cause of unexplained persistent jaundice.

키워드

Jaundice; Anabolic agents; Steroids; Chemical and drug induced liver injury; Substance abuse, oral

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